Policies and guidelines
See our medical and pharmacy policies — plus clinical practice guidelines and details about preapproval for services.
New behavioral health provider network
Are you a behavioral health provider?
We encourage all behavioral health providers to join our new network, which will go live January 1, 2023. We will continue to work with Magellan Healthcare, Inc., through this transition to ensure continuity of care for our members.
Resources for providers
The basics
Tools and resources
Access the PEAR portal and other systems, download forms, and find a wealth of other useful info for providers.
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Claims and billing
Access Electronic Data Interchange (EDI) resources, find claims submission guides, register with Independence, and more.
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Patient management
Find info about our standards of care — plus details about a wide array of preventive care and other patient programs.
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Becoming a provider
Get qualified as an in-network provider and see how we help you through innovation and referrals.
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Contact us
Find important forms, phone numbers, email addresses, mailing addresses, and more.
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News, tools, and useful links
The PEAR portal
The Provider Engagement, Analytics & Reporting (PEAR) portal is a single point of entry for participating providers to easily access tools to help manage the clinical and financial information specific to their provider organization and to obtain plan information to care for their patients. Registration is required.
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Useful tools
Medical policies
Find clinical and claim payment reimbursement positions for services rendered under our plans.
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Electronic data interchange (EDI)
Increase office productivity and improve cash flow with EDI.
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News you can use right now
Ours is an ever-evolving industry, but we’re proud to keep our providers up to date and informed.
Provider News Center